协和医学杂志 , Medical Journal of Peking Union Medical College Hospital, 编辑部邮箱 , 2011年04期 【作者】 陈广俊; 叶铁虎; 黄宇光; 罗爱伦; 李单青;
【Author】 CHEN Guang-jun1,YE Tie-hu1,HUANG Yu-guang1,LUO Ai-lun1,LI Shan-qing2 1Department of Anesthesiology,2Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China
【机构】 中国医学科学院北京协和医学院北京协和医院麻醉科; 中国医学科学院北京协和医学院北京协和医院胸外科;
【摘要】 目的应用经食管超声心动图(transesophageal echocardiography,TEE)评价左侧卧位开胸手术患者采用小潮气量呼气末正压(positive end-expiratory pressure,PEEP)单肺通气时的血流动力学变化。方法选择本院美国麻醉医师协会(American Society of Anesthesiologists,ASA)分级I-II级择期行左侧卧位开胸肺叶切除手术患者10例。在全麻诱导后采用小潮气量呼气末正压通气,潮气量4~6ml/kg,PEEP4~6cmH2O,呼吸频率12~16次/min。维持呼气末二氧化碳(end-tidal carbon dioxide,EtCO2)35~40mmHg,SpO2>96%,并持续至研究观察结束。全麻诱导后30min(约中心静脉穿刺后15min)时测量患者平卧位双肺通气时的心率(heart rate,HR)、血压(blood pressure,BP)、中心静脉压(central venous pressure,CVP),同时应用TEE经胃左心室中段短轴测量左室射血分数(left ventricular... 更多还原
【Abstract】 Objective To evaluate the hemodynamic status by transesophageal echocardiography(TEE) during one-lung ventilation with low tidal volume and positive end-expiratory pressure(PEEP) in left lateral position.Methods Ten American Society of Anesthesiologists(ASA) class I or II patients undergoing elective right lung lobectomy in left lateral position were included in the study.After induction of anesthesia,ventilation parameters were set at TV 4-6 ml/kg,PEEP 4-6 cm H2O,and RR 12-16 /min,maintaining(e... 更多还原 【关键词】 经食管超声心动图; 左侧卧位; 小潮气量; 呼气末正压; 单肺通气; 【Key words】 transesophageal echocardiography; left lateral position; low tidal volume; positive end-expiratory pressure; one-lung ventilation; 【分类号】R614.2
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